Individual provider Active NPI

Heejin Ryoo, MS

  • Mental Health Counselor
  • Kissimmee, FL
National Provider Identifier
1457047169
Registry record updated Feb 13, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
Practice address
2914 Vienna LN
Kissimmee, FL 34744-5011
Phone
(407) 988-6983
NPI assigned
Apr 14, 2023
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Feb 13, 2024

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health Counselor 101YM0800X FL Primary

Addresses

Primary practice location

2914 Vienna LN
Kissimmee, FL 34744-5011

Mailing address

2914 Vienna LN
Kissimmee, FL 34744-5011
Phone (407) 988-6983

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL
Eligible to order & refer
  • Part B services: No
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: No
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20241217002231 FL Practitioner - Mental Health Counselor 2163959008 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Master of Science

Practice roles

OrganizationSpecialtyStatusNew patients
HJ Holistic Therapy PLLC Mental Health CurrentSince Nov 1, 2024 Accepting new patients

Locations

13538 Village Park Dr
Unit 220
Orlando, FL 32837
Phone (407) 494-3787

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1681430400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1707782400000",
    "number": "1457047169",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2914 VIENNA LN",
            "city": "KISSIMMEE",
            "state": "FL",
            "postal_code": "347445011",
            "telephone_number": "407-988-6983"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2914 VIENNA LN",
            "city": "KISSIMMEE",
            "state": "FL",
            "postal_code": "347445011",
            "telephone_number": "407-988-6983"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RYOO",
        "first_name": "HEEJIN",
        "credential": "MS",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2023-04-14",
        "last_updated": "2024-02-13",
        "certification_date": "2024-02-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "FL",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Kissimmee, FL

Sources for this page

Verify at the official NPI Registry.